자해행동을 보이는 최중증 발달장애인의 비대면 기반 행동중재 사례연구

신윤희,박경옥 한국지체·중복·건강장애교육학회 2024 지체.중복.건강장애연구 Vol.67 No.2

연구목적: 본 연구는 비대면 기반 행동중재를 통해 최중증 성인발달장애인의 심각한 도전적행동을 줄이고 대체행동을 늘리는데 효과가 있는지를 알아보고는 데 목적이 있다. 연구방법: D광역시의 성인발달장애인을 대상으로 최중증 낮지원생활지원센터에 입소한 이용인에게 총 7개월간의 행동중재를 실시하였다. 중재방법은 긍정적 행동지원 개별지원으로 진행되었으며, 자료분석은 표적행동은 사건기록법으로, 대체행동은 수행빈도를 기회빈도로 나누어 백분율화(%)하였다. 연구결과: 비대면 기반 행동중재를 통해 최중증 성인발달장애인의 도전적행동인 자해행동을 줄이는데 효과가있었다. 기초선 평균 12에서 긴급대처와 중재 1, 2단계를 거치면서 0.14로 줄었으며 PND 100%로 나타났다. 대체행동 변화에 있어서는 기초선 평균 0에서 중재평균 획득은 79.4로 PND 100%, 회피는 55.9 PND 73.7% 로 나타났다. 결론: 비대면 기반 행동중재를 통해 최중증 성인발달장애인의 도전적행동인 자해행동을 줄이는데 효과가 있었다. 그러나 긴급중재와 통제된 환경에서는 상당한 효과가 있었으나, 자연스러운 환경에서는 통제된 환경보다 행동발생 빈도가 조금 높았다. 대체행동에서도 획득기능 ‘주세요’는 큰 변화를 보였으나 회피기능 ‘싫어요’의 의사표현은획득기능의 표현보다는 다소 효과가 낮았다. Purpose: This study aimed to investigate the effectiveness of non face-to-face behavioral intervention in addressing severely challenging behaviors, particularly self-injurious behaviors, in adults with profound developmental disabilities. The study focused on reducing self-injurious behaviors and increasing alternative behaviors through non face-to-face behavioral intervention, involving on-site practitioners. Method: The study targeted an adults with a profound developmental disability in D City who was a resident of a supported living support center for individuals with profound disabilities. The study spanned a total of 7 months and employed individualized support using positive behavior support methods. Data analysis utilized event or frequency recording for target behaviors and calculated percentages for alternative behaviors based on frequency of occurrence. Results: The non face-to-face behavioral intervention was effective in reducing self-injurious behaviors in adults with profound developmental disabilities. The baseline mean of 12 decreased to 0.14 after emergency responses and intervention steps 1 and 2, with a 100% Post-Intervention Negative Difference (PND). Regarding changes in alternative behaviors, the baseline mean of 0 increased to an intervention mean of 79.4 with a PND of 100%, while avoidance behaviors showed a PND of 73.7% with a mean of 55.9. Conclusion: The non face-to-face behavioral intervention proved effective in reducing self-injurious behaviors in an adult with a profound developmental disability. However, while significant effects were observed in emergency interventions and controlled environments, the frequency of behavioral occurrences was slightly higher in natural settings compared to controlled environments. In terms of alternative behaviors, the acquisition function 'please' showed substantial changes, but the expression of the avoidance function 'dislike' exhibited somewhat lower effectiveness compared to the expression of the acquisition function.

건강 신념 모델에 근거한 성교육 프로그램이 대학생의 성병 관련지식과 성적자율성에 미치는 효과

신윤희,정영경,조성미,조예령 한국간호과학회 2005 Journal of Korean Academy of Nursing Vol.35 No.8

Purpose: The purpose of this study was to evaluate the effects of a sex education program, which was based on the Health Belief Model, on knowledge related to sexually transmitted diseases and sexual autonomy among university students. Method: A non-equivalent control group, pretest-posttest design was used. The four session program was delivered to 18 students during 4 weeks; the control group consisted of 23 students. The theme of the first session was "sex, gender, and sexuality: all our concern", "dangerous sex" for the second session, " safe sex" for the third session, and "right sex for you and me" for the fourth session. Result: At follow-up, the knowledge related to sexually transmitted diseases and sexual autonomy were significantly greater in the intervention group than in the control group. Conclusion: A sex education program with several sessions within the theoretical frame of HBM was effective to improve knowledge related to sexually transmitted diseases and sexual autonomy. The results suggest the potential of a systematic sexual education program to teach healthy sex and to extend the program for other various populations.

청소년의 운동과 식습관 향상을 위한 멘토링 프로그램 개발 및 효과

신윤희,안수현,안주림,양고운,오숙경 한국간호과학회 2007 Journal of Korean Academy of Nursing Vol.37 No.5

건강 신념 모델에 근거한 성교육 프로그램이 대학생의 성병 관련지식과 성적자율성에 미치는 효과

신윤희,전영경,조성미,조예령 한국간호과학회 2005 Journal of Korean Academy of Nursing Vol.35 No.7

수업사례:초등

신윤희 한국보건교육학회 2021 한국보건교육학회 추계학술대회자료집 Vol.2021 No.-

청소년의 스트레스 관리를 위한 멘토링 프로그램

신윤희,안양희 지역사회간호학회 2009 지역사회간호학회지 Vol.20 No.2

Purpose:The purpose of this study was to develop a mentoring program for stress management among Korean adolescents and to assess the effects of the program. Methods: The nonequivalent control group (CG) pretest-posttest design was used in this study. The mentoring intervention was delivered to 18 middle school students (males and females) but nothing was done to the control group consisting of 18 students. The mentoring intervention was conducted by seven nursing students who participated in the program as mentors using various methods such as individual meetings and group activities. The dependent variable was stress level. Results:The program consisted of group and individual mentoring. At follow-up, although the mentees's satisfaction was high and they stated qualitatively positive experience, the difference of stress level between the two groups was not significant. Conclusion: If future mentoring programs reflect the limitation of the current program, they may have potential as developmentally appropriate interventions for stress management of adolescents, and enable nursing students to gain confidence in their professional capability.

성인 만성질환자가 지각하는 운동 자기효능감과 운동 유익성 및 장애성에 관한 연구

신윤희,장희정 한국간호과학회 2000 Journal of Korean Academy of Nursing Vol.30 No.4

Poster 발표 : 논문 3; 로봇과 상호작용을 통한 정서행동장애 및 위기 학생의 반응 탐색연구

신윤희,이효신,진미영,유충훈,김창걸 한국정서·행동장애아교육학회(구 한국정서학습장애아교육학회) 2012 정서 학습장애아교육 학술발표회 Vol.2012 No.-

자폐스펙트럼장애 유·아동의 로봇인식과정 연구

신윤희,진미영,조정민,서경희 한국정서행동장애학회 2011 정서ㆍ행동장애연구 Vol.27 No.4

This study was to figure out the children with Autism Spectrum disorders' understanding about the robot after they first saw the robot named Enkey. The participations were 5 Autistic children in the daily care center and preschool. We observed children's behaviors and collected data, and then transcribed their behaviors using movie clips. In order to analyzed of data, we made some categories, extracted the meaning of data, and draw out a conclusion. The results of this study were that all of participants experienced by cognitive process from piaget's theory when they met the robot. But some of participants couldn't progress to accommodative stage, stayed at assimilative stage in figurative schemas so they couldn't communicate and interplay with robot. Moreover, they took a more time for going through every stage. Therefore, this study suggest to insight of cognitive skills as well as to improving social skills for the children with autism spectrum disorder when making intervention using robot. 본 연구는 자폐스펙트럼장애 유·아동과 로봇간의 상호작용 이전 자폐스펙트럼장애 유·아동이 로봇이라는 대상을 인식할 수 있는가에 중점을 두고 처음 로봇을 보았을 때 로봇에 적응하기 위해 어떻게 로봇을 인식하는지 구체적으로 알아보고자 하였다. 장애전담어린이집에서 교육을 받고 있는 유·아동 5명을 대상으로 하였으며, 관찰기록에서 얻은 자료의 분석을 통해 다음과 연구결과를 도출하였다. 첫째, 자폐스펙트럼장애 유·아동은 로봇을 인식할 때 피아제의 인지적 형성과정과 정단계의 순서로 탐색하며 대상의 도식을 형성한다. 둘째, 자폐스펙트럼장애 유·아동들 중 기존도식에서 벗어나지 못하고 새로운 대상을 기존도식에 동화시켜려 할 경우 친숙한 상호작용이 불가능하였다. 셋째, 모든 자폐스펙트럼장애 유·아동이 로봇을 인식할 때 나타나는 행동특성은 일반 유·아동과 비슷하였지만 소요되는 시간은 길었다. 따라서 본 연구에서는 자폐스펙트럼장애 유·아동의 사회적 상호작용을 증진시키는데 있어서 로봇을 활용할 경우 유·아동의 사회적 능력 외에도 인식능력까지 함께 통찰할 수 있어야 함을 보여준다.

메타버스 및 인공지능(AI)을 기반으로 한 교육적 중재연구의 동향 및 분석

신윤희,조태곤,한경인,정규만 학습자중심교과교육학회 2023 학습자중심교과교육연구 Vol.23 No.18

Objectives This study identifies trends in overall studies related to educational interventions based on metaverse and AI, and analyzes the literature of previous studies on who, what platform, and in which areas educational use was made in general education and special education. Through this, trends and characteristics were analyzed. Methods The literature was selected by the PRISMA method, and the analysis tools of author, year, research title, education field, area, research method, and variable were used. The collected data were re-categorized by continuously extracting and organizing classifications through discussions with the research group. The subject areas was recategorized into architecture, engineering, science, liberal arts, cross-curricular learning, health care, mathematics, practical subjects, language, history, art, convergence talent education, physical education and mixed, and the research method platform was recategorized into mirror world, augmented reality, lifelogging, virtual world, AI, and mixed. the data were expressed in terms of frequency and percentage. Results Studies on educational intervention using metaverse and AI is rapidly increasing since 2017, and is being actively conducted in the field of general education. In addition, research on AI and virtual worlds has been actively conducted recently. In general education and special education, experience-centered education using the mirror world is prioritized, but in general education, fostering future talent and in special education, improvement of the subject's function is given priority. Also, slightly different results were found in the use of the platform, the subject of study applied, and the area of education used. Conclusions In each field of education, it was seen that the distribution of the subject area increases depending on who has what purpose of education, and at the same time, what kind of platform is used for effective teaching within the subject area is determined. This discussion and implications were presented.